Research in Nursing & Health最新文献_第8页

Negative Experiences and Maladjustment Following Long-Term Care Facility Admission: A Meta-Synthesis of Qualitative Studies. 长期照护机构入院后的负面经验与适应不良：一项质性研究的元综合。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-07-27 DOI: 10.1002/nur.70108

Yujin Hur, Seo-Jin Lee

{"title":"Negative Experiences and Maladjustment Following Long-Term Care Facility Admission: A Meta-Synthesis of Qualitative Studies.","authors":"Yujin Hur, Seo-Jin Lee","doi":"10.1002/nur.70108","DOIUrl":"https://doi.org/10.1002/nur.70108","url":null,"abstract":"Long-term care facilities have become an increasingly common option for older adults. Although admission is often a practical response to care needs, this major life transition may profoundly affect older adults' psychosocial well-being. However, examinations of negative experiences following admission have been fragmented, limiting an integrated understanding of factors influencing maladjustment. This study comprehensively synthesized qualitative evidence on older adults' negative experiences and identified factors that contribute to maladjustment following admission to long-term care facilities. A qualitative meta-synthesis was conducted using a line-of-argument approach based on meta-ethnography. Systematic literature searches performed in PubMed, CINAHL, and ProQuest, following PRISMA guidelines, identified 18 qualitative studies published in peer-reviewed journals. Study quality was appraised using the Critical Appraisal Skills Programme checklist. Rigor was ensured following Lincoln and Guba. Six overarching themes were identified: admission to a long-term care facility without choice, loss of autonomy and sense of control in everyday life, disruption of previous life and identity, weakening of social relationships and deepening isolation, persistent negative mood, and lack of respect in the care process. These findings show that maladjustment is shaped by interconnected and cumulative experiences. Admission to long-term care facilities is a complex and ongoing process that disrupts continuity, identity, and emotional stability in later life. The findings highlight the need for long-term care practices and nursing interventions that prioritize older adults' choices, participation, and psychosocial needs.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148610198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Validation of the Arabic Version of the Quality of Healthy Work Environment Instrument Among Nurses. 阿拉伯文护士健康工作环境质量量表的验证。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-06-01 Epub Date: 2026-02-14 DOI: 10.1002/nur.70058

Hasan Alelayan

{"title":"Validation of the Arabic Version of the Quality of Healthy Work Environment Instrument Among Nurses.","authors":"Hasan Alelayan","doi":"10.1002/nur.70058","DOIUrl":"10.1002/nur.70058","url":null,"abstract":"A healthy work environment is fundamental to enabling nursing professionals to deliver high-quality patient care, sustain personal well-being, and support the long-term viability of healthcare organizations. Despite its importance, the lack of culturally and linguistically validated instruments hinders accurate assessment of work environments within Arabic-speaking nursing populations. This study aimed to translate and validate the Arabic version of the Quality of Healthy Work Environment (Ar-QHWE) instrument for use among registered nurses. A methodological cross-sectional design was employed. The QHWE instrument underwent forward and backward translation in accordance with WHO guidelines to ensure linguistic and conceptual equivalence. A total of 200 registered nurses from a tertiary care hospital were recruited. Construct validity was examined through confirmatory factor analyses (CFA), while internal consistency was assessed using Cronbach's alpha coefficients. Convergent validity was examined using average variance extracted and Pearson correlation between Ar-QHWE and job satisfaction (JS), perceived quality of care (PQC), and intention to leave (ITL). The Ar-QHWE demonstrated robust psychometric properties. CFA confirmed satisfactory model fit indices (CFI = 0.94, TLI = 0.93, RMSEA = 0.04). Cronbach's alpha coefficients for all subscales ranged from 0.74 to 0.85, indicating high internal consistency. Test-retest reliability, as assessed by ICCs, was also excellent across subscales and for the overall scale. The convergent and discriminant validities were also good, with strong correlations between Ar-QHWE and JS, PQC, and ITL. No major floor or ceiling effects were observed, indicating appropriate score distribution. The Ar-QHWE is a psychometrically sound instrument for evaluating perceptions of a healthy work environment among Arabic-speaking nurses. Its use is recommended for research, policy development, and organizational initiatives aimed at improving workplace quality across Arabic-speaking healthcare systems.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"241-248"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146196098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long-Term Caregivers' Perceptions and Expectations Toward the Use of Nursing Robots: A Meta-Synthesis of Qualitative Research. 长期护理者对护理机器人使用的感知和期望：一项定性研究的综合研究。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-06-01 Epub Date: 2026-02-10 DOI: 10.1002/nur.70055

Liyun Wu, Ziqi Mei, Chengxi Tao, Huajing Sun, Suju Zhang, Shengji Jin, Weitong Li, Junyu Chen, Xiaomiao Liu, Mingqiu Gu, Yamei Bai, Guihua Xu

{"title":"Long-Term Caregivers' Perceptions and Expectations Toward the Use of Nursing Robots: A Meta-Synthesis of Qualitative Research.","authors":"Liyun Wu, Ziqi Mei, Chengxi Tao, Huajing Sun, Suju Zhang, Shengji Jin, Weitong Li, Junyu Chen, Xiaomiao Liu, Mingqiu Gu, Yamei Bai, Guihua Xu","doi":"10.1002/nur.70055","DOIUrl":"10.1002/nur.70055","url":null,"abstract":"This study aims to synthesize the perceptions and expectations of long-term caregivers regarding the use of nursing robots to inform strategies for enhancing the quality and operational efficiency of care services. Global poulation aging has exacerbated long-term caregiver burnout and critical staff shortages. Nursing robots present a potential solution to mitigate these challenges and improve care standards. We conducted a meta-synthesis of qualitative studies, searching eleven databases (PubMed, Web of Science, Embase, CINAHL, Scopus, Cochrane Library, PsycINFO, SinoMed, China National Knowledge Infrastructure, Wanfang, and Vip) from their inception through January 1, 2025, for publications in Chinese and English. The search strategy utilized a comprehensive set of terms related to four core concepts: long-term caregivers, nursing robots, long-term care settings, and perceptions/experiences. Methodological quality was assessed using the Joanna Briggs Institute's critical appraisal tools. Following a rigorous screening and data extraction process, a thematic synthesis of 26 included studies was conducted using NVivo software. The analysis yielded three analytical themes and nine sub-themes: (1) Affirmation and Acceptance, (2) Concerns and Challenges, and (3) Expectations and Requirements. Findings reveal that while most long-term caregivers are enthusiastic about nursing robots, they also express significant concerns about technical reliability, safety, and privacy. Future efforts should prioritize user-centered design, supportive policy development, and comprehensive training programs to facilitate robot adoption and enhance care quality. The protocol was registered with PROSPERO (CRD42024583919). No patient or public contribution was included in this study.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"227-240"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment on "Pathway to Excellence Designation, Nurse Work Environment, and Hospital Quality and Safety: A Multi-State Hospital Study". 对“通往卓越指定之路、护士工作环境、医院质量和安全：一项多州医院研究”的评论。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2026-06-01 Epub Date: 2026-03-09 DOI: 10.1002/nur.70065

Palavardhan Peddapalegani, Raghav Gupta, Priyanka Bansal, Pankaj Nainwal, Hariharan Srinivasan

引用次数: 0

Identification of Key Depressive Symptoms in Pregnant Women: Simulating Interventions. 孕妇主要抑郁症状的识别：模拟干预

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-06-01 Epub Date: 2026-02-10 DOI: 10.1002/nur.70057

Wanqin Hu, Anson Kai Chun Chau, Liu Tai Wa, Hong Wang Fung, Agnes Yuen Kwan Lai, Zhanbiao Li, Janet Yuen-Ha Wong

{"title":"Identification of Key Depressive Symptoms in Pregnant Women: Simulating Interventions.","authors":"Wanqin Hu, Anson Kai Chun Chau, Liu Tai Wa, Hong Wang Fung, Agnes Yuen Kwan Lai, Zhanbiao Li, Janet Yuen-Ha Wong","doi":"10.1002/nur.70057","DOIUrl":"10.1002/nur.70057","url":null,"abstract":"Symptoms with the highest strength centrality in mental disorders are regarded as potential intervention targets, and their suitability as intervention targets remains uncertain. This study employs the NodeIdentifyR algorithm (NIRA), a novel network intervention method, to examine how alleviating or aggravating specific symptoms affects the network's sum scores. A total of 701 pregnant women from the U.S. National Health and Nutrition Examination Survey (2003-2023) were included. Depressive symptoms were assessed using the Patient Health Questionnaire-9, and pregnancy status was confirmed via urine tests or self-report. The Ising model was used to construct the symptom network, and NIRA was applied to simulate both alleviating and aggravating interventions. The results revealed that the centrality analysis identified \"guilt or low self-worth\" as the central symptom with the highest strength value. Alleviating interventions targeting \"fatigue\" had the greatest reduction in symptom network activation, resulting in the largest decrease in the projected symptom sum score by 52.53%, indicating it as a potential target for alleviating depressive symptoms. Aggravating interventions targeting \"guilt or low self-worth\" had the greatest increase in the severity of depressive symptoms, causing the largest increase in the symptom sum score by 70.97%, suggesting its potential as a prevention target. Aggravating interventions caused greater overall changes in symptom activation than alleviating interventions, with both affecting the same symptoms in different ways. Notably, \"fatigue\" is primarily associated with physiological and other somatic factors rather than emotional symptoms, highlighting the need for cautious interpretation of fatigue-targeted interventions.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"249-257"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Artificial Intelligence and Qualitative Research: Capabilities, Challenges, and Best Practices. 人工智能和定性研究：能力、挑战和最佳实践。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2026-06-01 Epub Date: 2026-03-27 DOI: 10.1002/nur.70070

Jean Croce Hemphill, Doncy J Eapen, Nitha Mathew Joseph, Cassandre Horne, Alasia Ledford, Cheryl Wells, Karen M Carver, Vanessa Pugh

引用次数: 0

Development and Validation of the Professional Self-Concept Scale for Hospital Nurses (PSCS-HN). 医院护士职业自我概念量表（PSCS-HN）的编制与验证

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-06-01 Epub Date: 2026-02-14 DOI: 10.1002/nur.70059

Eun-Ha Kim, Hye-Ah Yeom

{"title":"Development and Validation of the Professional Self-Concept Scale for Hospital Nurses (PSCS-HN).","authors":"Eun-Ha Kim, Hye-Ah Yeom","doi":"10.1002/nur.70059","DOIUrl":"10.1002/nur.70059","url":null,"abstract":"Professional self-concept (PSC) has a positive influence on the attitudes and behaviors of members of an organization toward their work. Although establishing PSC is vital for nurses to provide quality nursing care, assessing PSC precisely in ever-changing healthcare environments can be challenging. This methodological study involved the development of a new instrument, the Professional Self-Concept Scale for Hospital Nurses (PSCS-HN) and evaluation of its validity and reliability. The scale development phase involved the development of preliminary items based on a literature review and focus group interviews, followed by primary and secondary content validation by an expert panel. In the scale evaluation phase, a survey of 440 nurses working in general hospitals was conducted to examine scale validity and reliability. Construct validity was evaluated through item, exploratory factor, and confirmatory factor analyses, which resulted in a final scale with five factors and 23 items. Concurrent and convergent validity of the PSCS-HN were confirmed by significant correlation coefficients of the scale with existing instruments. Regarding reliability, in this study, the Cronbach's alpha and McDonald's ω of the PSCS-HN were 0.93 and 0.95, respectively. The results confirm that the PSCS-HN is a valid and reliable scale to assess hospital nurses' PSC.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"269-282"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146196123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction to "International Workshop on Nursing and Health Care Research WNCR2025". 对“护理和卫生保健研究国际研讨会WNCR2025”的更正。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2026-06-01 Epub Date: 2026-03-31 DOI: 10.1002/nur.70071

引用次数: 0

The Role of Surveillance in the Association Between the Nurse Work Environment and Patient Safety Culture. 监控在护士工作环境与患者安全文化关系中的作用。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-06-01 Epub Date: 2026-02-22 DOI: 10.1002/nur.70056

Kathryn A Connell, Hyunmin Yu, Domenique Villani, Matthew D McHugh, Clint Douglas

{"title":"The Role of Surveillance in the Association Between the Nurse Work Environment and Patient Safety Culture.","authors":"Kathryn A Connell, Hyunmin Yu, Domenique Villani, Matthew D McHugh, Clint Douglas","doi":"10.1002/nur.70056","DOIUrl":"10.1002/nur.70056","url":null,"abstract":"Nursing surveillance has been identified as a core clinical process through which organizational conditions may influence patient safety; however, its explanatory role in the relationship between the nurse work environment and patient safety culture is not well established. This study examined whether nursing surveillance practices account for part of the association between the nurse work environment and patient safety culture in medical-surgical units. Cross-sectional data were drawn from 1,597 medical-surgical nurses who participated in the RN4CAST-Australia 2018 survey. The nurse work environment was measured using the Practice Environment Scale-5, nursing surveillance using a validated 16-item scale assessing the frequency of patient assessment practices for early detection of deterioration, and patient safety culture using a validated short form of the Hospital Survey on Patient Safety Culture. Structural equation modeling was used to estimate direct associations between the nurse work environment and patient safety culture and indirect associations via nursing surveillance. A more favorable work environment was directly associated with a more positive patient safety culture and more frequent surveillance practices. More frequent surveillance was also directly associated with a more favorable patient safety culture. In addition, the nurse work environment was indirectly associated with patient safety culture through increased surveillance. These findings suggest that nursing surveillance represents a specific, actionable mechanism linking work environment conditions to patient safety culture. Efforts to improve patient safety may therefore require both structural enhancements to the work environment and targeted strategies to strengthen proactive nursing surveillance.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"258-268"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Research Protocol to Develop a Prototype of a Music-Based Mobile Application to Improve Sleep in Persons Living With Dementia and Their Caregivers. 开发基于音乐的移动应用程序原型的研究协议，以改善痴呆症患者及其护理人员的睡眠。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-06-01 Epub Date: 2026-02-20 DOI: 10.1002/nur.70060

Darina V Petrovsky, Justine S Sefcik, Miranda V McPhillips, Joke Bradt, Wei Pan, Bei Wu, Nancy A Hodgson

{"title":"A Research Protocol to Develop a Prototype of a Music-Based Mobile Application to Improve Sleep in Persons Living With Dementia and Their Caregivers.","authors":"Darina V Petrovsky, Justine S Sefcik, Miranda V McPhillips, Joke Bradt, Wei Pan, Bei Wu, Nancy A Hodgson","doi":"10.1002/nur.70060","DOIUrl":"10.1002/nur.70060","url":null,"abstract":"Sleep disturbances, particularly insomnia, significantly impact individuals living with Alzheimer's disease and related dementias (ADRD), leading to accelerated cognitive decline, increased institutionalization rates, and faster disease progression. While pharmacological interventions exist, their potential side effects necessitate the exploration of safer, non-pharmacological alternatives. Music interventions have shown promise in addressing sleep disturbances among older adults, yet existing solutions are neither tailored to nor extensively tested in persons living with dementia (PLWD). This study presents the research protocol for CoMPoSER (Calming Music Personalized for Sleep Enhancement in PeRsons living with Dementia), a mobile application designed specifically for PLWD and their caregivers. In the first two phases, the study will involve the development of the application and in the third phase we will employ a pilot randomized controlled trial to assess preliminary effects of the intervention and explore its mechanism of action. The research objectives include developing and refining the CoMPoSER mobile application prototype, investigating its underlying mechanisms, and evaluating its impact on both PLWD and caregiver outcomes. By developing and systematically testing approaches that address sleep disturbances in PLWD, this study aims to expand the repertoire of evidence-based interventions available to PLWD and their families, ultimately contributing to improved quality of life and disease management.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"216-226"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12952692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146260050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0